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NPI Code Detail

MEDICARE: UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER

MEDICARE: UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care HospitalNP11917CA

General Provider Information

NPI Number : 1811993900
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER
Provider Business Mailing Address
First Line : 2315 STOCKTON BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2201
Country : US
Telephone Number : 916-734-0855
Fax Number : 916-734-1660
Provider Business Practice Location Address
First Line : 2315 STOCKTON BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2201
Country : US
Telephone Number : 916-734-0855
Fax Number : 916-734-1660
Authorized Official
Title or Position : NURSE PRACTITIONER III
Name : MS. JO ANN BRYAN
Credential : NP
Telephone Number : 916-734-0855
Provider Enumeration Date : 06/22/2005
Last Update Date : 08/22/2020

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Directions to “UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER ” Practice Location

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